Lucas Clay Harder, PT, DPT
Individual provider Active NPI Physical Therapist · Fabius, NY
NPI 1104335306 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1104335306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 041873 (NY)
- Practice address
- 1075 Bailey Rd
Fabius, NY 13063-9779 - Phone
- (315) 708-8178
- NPI assigned
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041873 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041873 | NY | Yes |
Addresses
Primary practice location
1075 Bailey Rd
Fabius, NY 13063-9779
Mailing address
1075 Bailey Rd
Fabius, NY 13063-9779
Phone (315) 708-8178
Other providers in Fabius, NY
- Brianna E Dewhirst
- Fabius-Pompey Central School
- Rachel Foster
- Mark M Grenier
- Lynn Hale
- Matthew Gerald Heyn
- Rural Roots Nutrition PLLC
- Kathryn A Vernay
All providers in Fabius, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.